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1991, 11-19 Permit App: 91008002 Siding, Soffit, Fascia c 1 - T00 -a vqLL. A; = c,( 11, So INFORMATION WORKSHEET * **************************************************************************** * * PARCEL NUMBER: * * STREET ADDRESS: E 1 D:16a )kLAv k 0e * * CITY/STATE/ZIP: �fov-‘ i•-•,...- I.JA ct'i D 1(n * * SUBDIVISION: * BLOCK: LOT: ZONE: DISTRICT: * * LOT AREA: F/A.: WIDTH: DEPTH: R/W: * * # OF BUILDINGS: # OF DWELLINGS: , WATER DISTRICT: * * OWNER: CD,v 2Tk 5 4-Lcc,r. ,.. PHONE: :5- -ci a8 - 3`i(o-) * * MAILING ADDRESS: f C,).--7 )- 5 tc-LA,...)-1_.,..,) Ce * * CITY/STATE/ZIP: SPocA,z_ LJA 'MD.14, * * CONTACT: t t- PHONE: 501 - ',,)3 - `1-b 8 * * SETBACKS: - FRONT: LEFT: RIGHT: REAR: * PERMIT USE: *ta:.-1 f C'<< s FF\5 `tc: * e**************************************************************************** BUILDING INFORMATION * * CONTRACTOR LICENSE NUMBER: I-$: Oft(--1 e)c sq(„:, 0n1;_ * * CONTRACTOR: Vcc Vft 6Rx) e-L2S PHONE: 5cf' -dap, - c,8 * MAILING ADDRESS: q- 1 D-10 a .4_(.,,i k )? k De_ * * ARCHITECT/ENGINEER: PHONE: - - * -- * MAILING ADDRESS: * * NEW: REMODEL: \/// ADDITION: CHANGE OF USE: * * DWELL UNITS: OCCUPANT LOAD: BUILDING HGT: STORIES: * * BUILDING DIMENSIONS: X (WIDTH X DEPTH) SQ. FT. : * * PEQUIRED PARKING: # HANDICAP: SEWER (Y/N) : HYDRANT: * ****************************************************************************